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Question:

From India:

My daughter was diagnosed with type 1 diabetes in July 2002 when she was 13 years old. Her blood sugar fluctuates from 70 to 300 mg/dl [3.9 to 16.7 mmol/L] in 24 hours, even with four injections per day and daily blood sugar testing. Her A1c remains below 7.0. Is this treatment reasonable? Insulin pumps are still not affordable in India.

Answer:

An A1c less than 7.0 is good, but those blood sugar fluctuations are not good. You should ask your diabetes team about switching to insulin glargine Lantus, a long lasting insulin analog that can help lead to more target readings. It is often given as a separate shot at bedtime. Short-acting insulin, such as Humalog or NovoLog is then given for each meal or snack eaten.

AS

DTQ-20040712005429
Original posting 21 Jul 2004
Posted to A1c, Glycohemoglobin, HgbA1c and Blood Tests and Insulin Injections

  
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Last Updated: Tuesday April 06, 2010 15:09:58
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